How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,513.56 Median $4,365.16 Typical High $8,128.31 | Facility | None | $1,513.56 | $4,365.16 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $524.81 | Professional | None | $512.86 | $524.81 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $6,309.57 Typical High $12,302.69 | Facility | None | $1,659.59 | $6,309.57 | $12,302.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $630.96 | Professional | None | $380.19 | $446.68 | $630.96 |
Anthem BCBS Setting Professional Modifier 62 · Two surgeons Typical Low $239.88 Median $281.84 Typical High $398.11 | Professional | 62 · Two surgeons | $239.88 | $281.84 | $398.11 |
CDPHP Setting Facility Modifier None Typical Low $2,290.87 Median $3,630.78 Typical High $10,964.78 | Facility | None | $2,290.87 | $3,630.78 | $10,964.78 |
CDPHP Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $4,897.79 Typical High $10,232.93 | Facility | None | $1,862.09 | $4,897.79 | $10,232.93 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $354.81 Typical High $933.25 | Professional | None | $346.74 | $354.81 | $933.25 |
Emblem Health Setting Facility Modifier None Typical Low $245.47 Median $457.09 Typical High $1,548.82 | Facility | None | $245.47 | $457.09 | $1,548.82 |
Emblem Health Setting Professional Modifier None Typical Low $426.58 Median $478.63 Typical High $794.33 | Professional | None | $426.58 | $478.63 | $794.33 |
Excellus BCBS Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $660.69 | Professional | None | $338.84 | $398.11 | $660.69 |
MVP Health Care Setting Facility Modifier None Typical Low $501.19 Median $4,786.30 Typical High $5,754.40 | Facility | None | $501.19 | $4,786.30 | $5,754.40 |
MVP Health Care Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $676.08 | Professional | None | $501.19 | $501.19 | $676.08 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $2,754.23 Typical High $8,128.31 | Facility | None | $1,148.15 | $2,754.23 | $8,128.31 |
United Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $676.08 | Professional | None | $295.12 | $436.52 | $676.08 |
Univera Setting Facility Modifier None Typical Low $316.23 Median $426.58 Typical High $1,479.11 | Facility | None | $316.23 | $426.58 | $1,479.11 |
Univera Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $645.65 | Professional | None | $338.84 | $398.11 | $645.65 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $380.19 Median $398.11 Typical High $398.11 | Professional | 54 · Surgery only | $380.19 | $398.11 | $398.11 |
Where New York sits
The same service costs 4.6 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New York· 48th of 51
$447
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.